Text: H01448 Text: H01450 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend House File 760 as follows:
1 2 #1. Page 19, by inserting after line 23, the
1 3 following:
1 4 " . The department shall adopt rules to apply
1 5 the reimbursement system utilized for nursing
1 6 facilities to skilled nursing facilities beginning
1 7 July 1, 2000. Funds available for reimbursement for
1 8 both nursing facilities and skilled nursing facilities
1 9 shall be combined for distribution in the fiscal year
1 10 beginning July 1, 2000.
1 11 . The department shall expand the requirements
1 12 of the cost reports submitted by nursing facilities to
1 13 include all of the following information:
1 14 a. Information concerning staffing ratios and
1 15 staffing costs including the number of hours spent per
1 16 resident per day on all of the following: nursing
1 17 services provided by registered nurses, licensed
1 18 practical nurses, certified nurse aides, restorative
1 19 aides, and certified medical aides; other care
1 20 services; administrative functions; housekeeping and
1 21 maintenance; and dietary services.
1 22 b. The starting and average hourly wage for all
1 23 classes of employees.
1 24 The information submitted shall be compiled by the
1 25 department and submitted to the general assembly to be
1 26 used to develop a new reimbursement system which links
1 27 higher reimbursement rates to improved nursing
1 28 staffing ratios and which distributes funding in a
1 29 manner which prioritizes the provision of direct care
1 30 to residents."
1 31 #2. Page 51, by striking lines 16 through 25, and
1 32 inserting the following:
1 33 "f. The basis for establishing the maximum medical
1 34 assistance reimbursement rate for nursing facilities
1 35 shall be the 70th percentile of facility costs as
1 36 calculated from the June 30, 1999, unaudited
1 37 compilation of cost and statistical data. However, to
1 38 the extent funds are available within the amount
1 39 projected for reimbursement of nursing facilities
1 40 within the appropriation for medical assistance in
1 41 this Act for the fiscal year beginning July 1, 1999,
1 42 and within the appropriation for medical assistance as
1 43 a whole for the fiscal year beginning July 1, 1999,
1 44 the department shall adjust the maximum medical
1 45 assistance reimbursement for nursing facilities to the
1 46 70th percentile, as calculated on December 31, 1999,
1 47 unaudited compilation of cost and statistical data and
1 48 the adjustment shall take effect January 1, 2000."
1 49 #3. By renumbering as necessary.
1 50
2 1
2 2
2 3 HEATON of Henry
2 4
2 5
2 6
2 7 HOUSER of Pottawattamie
2 8
2 9
2 10
2 11 ARNOLD of Lucas
2 12
2 13
2 14
2 15 BLODGETT of Cerro Gordo
2 16
2 17
2 18
2 19 JOHNSON of Osceola
2 20 HF 760.310 78
2 21 pf/cf
Text: H01448 Text: H01450 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
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